Mau Hans, Citak Mustafa, Gehrke Thorsten, Abdelaziz Hussein
Department of Orthopaedic Surgery, Helios ENDO-Klinik Hamburg, Hamburg, Germany.
Arthroplast Today. 2021 Mar 7;8:89-91. doi: 10.1016/j.artd.2021.02.006. eCollection 2021 Apr.
Failure to achieve postoperative stability is disappointing for both surgeons and patients after revision total hip arthroplasty. In particular, when available revision options have been exhausted. We describe our modification of previously reported surgical techniques without revising any component in a high-risk female patient with persistent hip dislocation despite multiple cup revisions using different implants. To stabilize the hip through the posterolateral approach, a synthetic polyethylene tube was used. This relatively simple, modified technique may be a solution in disappointing cases with failure to achieve hip stability in revision total hip arthroplasty.
对于翻修全髋关节置换术后未能实现术后稳定，外科医生和患者都会感到失望。特别是在可用的翻修选项都已用尽的情况下。我们描述了在一名高危女性患者中，尽管使用不同植入物进行了多次髋臼杯翻修，但仍持续存在髋关节脱位，我们对先前报道的手术技术进行了改良，且未更换任何组件。为了通过后外侧入路稳定髋关节，使用了一根合成聚乙烯管。这种相对简单的改良技术可能是翻修全髋关节置换术中未能实现髋关节稳定的令人失望病例的一种解决方案。
